EP4058064A1 - Composition pour thérapie photodynamique antimicrobienne - Google Patents
Composition pour thérapie photodynamique antimicrobienneInfo
- Publication number
- EP4058064A1 EP4058064A1 EP20808310.5A EP20808310A EP4058064A1 EP 4058064 A1 EP4058064 A1 EP 4058064A1 EP 20808310 A EP20808310 A EP 20808310A EP 4058064 A1 EP4058064 A1 EP 4058064A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- composition
- hydrogen peroxide
- infection
- light
- photosensitizer
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Withdrawn
Links
- 239000000203 mixture Substances 0.000 title claims abstract description 110
- 238000002428 photodynamic therapy Methods 0.000 title abstract description 14
- 230000000845 anti-microbial effect Effects 0.000 title abstract description 10
- MHAJPDPJQMAIIY-UHFFFAOYSA-N Hydrogen peroxide Chemical compound OO MHAJPDPJQMAIIY-UHFFFAOYSA-N 0.000 claims abstract description 102
- 239000003504 photosensitizing agent Substances 0.000 claims abstract description 51
- VFLDPWHFBUODDF-FCXRPNKRSA-N curcumin Chemical compound C1=C(O)C(OC)=CC(\C=C\C(=O)CC(=O)\C=C\C=2C=C(OC)C(O)=CC=2)=C1 VFLDPWHFBUODDF-FCXRPNKRSA-N 0.000 claims abstract description 46
- AUNGANRZJHBGPY-SCRDCRAPSA-N Riboflavin Chemical compound OC[C@@H](O)[C@@H](O)[C@@H](O)CN1C=2C=C(C)C(C)=CC=2N=C2C1=NC(=O)NC2=O AUNGANRZJHBGPY-SCRDCRAPSA-N 0.000 claims abstract description 45
- AUNGANRZJHBGPY-UHFFFAOYSA-N D-Lyxoflavin Natural products OCC(O)C(O)C(O)CN1C=2C=C(C)C(C)=CC=2N=C2C1=NC(=O)NC2=O AUNGANRZJHBGPY-UHFFFAOYSA-N 0.000 claims abstract description 23
- 239000004148 curcumin Substances 0.000 claims abstract description 23
- 235000012754 curcumin Nutrition 0.000 claims abstract description 23
- 229940109262 curcumin Drugs 0.000 claims abstract description 23
- VFLDPWHFBUODDF-UHFFFAOYSA-N diferuloylmethane Natural products C1=C(O)C(OC)=CC(C=CC(=O)CC(=O)C=CC=2C=C(OC)C(O)=CC=2)=C1 VFLDPWHFBUODDF-UHFFFAOYSA-N 0.000 claims abstract description 23
- 235000019192 riboflavin Nutrition 0.000 claims abstract description 23
- 239000002151 riboflavin Substances 0.000 claims abstract description 23
- 229960002477 riboflavin Drugs 0.000 claims abstract description 23
- 238000001228 spectrum Methods 0.000 claims abstract description 21
- 229940078916 carbamide peroxide Drugs 0.000 claims abstract description 17
- AQLJVWUFPCUVLO-UHFFFAOYSA-N urea hydrogen peroxide Chemical compound OO.NC(N)=O AQLJVWUFPCUVLO-UHFFFAOYSA-N 0.000 claims abstract description 17
- 239000005708 Sodium hypochlorite Substances 0.000 claims abstract description 15
- SUKJFIGYRHOWBL-UHFFFAOYSA-N sodium hypochlorite Chemical compound [Na+].Cl[O-] SUKJFIGYRHOWBL-UHFFFAOYSA-N 0.000 claims abstract description 15
- IINNWAYUJNWZRM-UHFFFAOYSA-L erythrosin B Chemical compound [Na+].[Na+].[O-]C(=O)C1=CC=CC=C1C1=C2C=C(I)C(=O)C(I)=C2OC2=C(I)C([O-])=C(I)C=C21 IINNWAYUJNWZRM-UHFFFAOYSA-L 0.000 claims abstract description 5
- 239000004174 erythrosine Substances 0.000 claims abstract description 5
- 235000012732 erythrosine Nutrition 0.000 claims abstract description 5
- 229940011411 erythrosine Drugs 0.000 claims abstract description 5
- 208000015181 infectious disease Diseases 0.000 claims description 40
- 238000000034 method Methods 0.000 claims description 24
- 239000003349 gelling agent Substances 0.000 claims description 23
- 229920002907 Guar gum Polymers 0.000 claims description 20
- 235000010417 guar gum Nutrition 0.000 claims description 20
- 239000000665 guar gum Substances 0.000 claims description 20
- 229960002154 guar gum Drugs 0.000 claims description 20
- 239000000499 gel Substances 0.000 claims description 11
- 244000000010 microbial pathogen Species 0.000 claims description 11
- 241000894006 Bacteria Species 0.000 claims description 8
- 239000001866 hydroxypropyl methyl cellulose Substances 0.000 claims description 8
- 235000010979 hydroxypropyl methyl cellulose Nutrition 0.000 claims description 8
- 229920003088 hydroxypropyl methyl cellulose Polymers 0.000 claims description 8
- 238000005286 illumination Methods 0.000 claims description 8
- 230000003239 periodontal effect Effects 0.000 claims description 8
- 208000005888 Periodontal Pocket Diseases 0.000 claims description 7
- 244000005700 microbiome Species 0.000 claims description 7
- 208000006389 Peri-Implantitis Diseases 0.000 claims description 6
- 201000001245 periodontitis Diseases 0.000 claims description 6
- 208000007565 gingivitis Diseases 0.000 claims description 5
- LNAZSHAWQACDHT-XIYTZBAFSA-N (2r,3r,4s,5r,6s)-4,5-dimethoxy-2-(methoxymethyl)-3-[(2s,3r,4s,5r,6r)-3,4,5-trimethoxy-6-(methoxymethyl)oxan-2-yl]oxy-6-[(2r,3r,4s,5r,6r)-4,5,6-trimethoxy-2-(methoxymethyl)oxan-3-yl]oxyoxane Chemical compound CO[C@@H]1[C@@H](OC)[C@H](OC)[C@@H](COC)O[C@H]1O[C@H]1[C@H](OC)[C@@H](OC)[C@H](O[C@H]2[C@@H]([C@@H](OC)[C@H](OC)O[C@@H]2COC)OC)O[C@@H]1COC LNAZSHAWQACDHT-XIYTZBAFSA-N 0.000 claims description 4
- IXPNQXFRVYWDDI-UHFFFAOYSA-N 1-methyl-2,4-dioxo-1,3-diazinane-5-carboximidamide Chemical compound CN1CC(C(N)=N)C(=O)NC1=O IXPNQXFRVYWDDI-UHFFFAOYSA-N 0.000 claims description 4
- 244000215068 Acacia senegal Species 0.000 claims description 4
- 235000006491 Acacia senegal Nutrition 0.000 claims description 4
- 241000416162 Astragalus gummifer Species 0.000 claims description 4
- 108010010803 Gelatin Proteins 0.000 claims description 4
- 229920000084 Gum arabic Polymers 0.000 claims description 4
- 239000004372 Polyvinyl alcohol Substances 0.000 claims description 4
- 241000605862 Porphyromonas gingivalis Species 0.000 claims description 4
- 229920002125 Sokalan® Polymers 0.000 claims description 4
- 229920002472 Starch Polymers 0.000 claims description 4
- 229920001615 Tragacanth Polymers 0.000 claims description 4
- 235000010489 acacia gum Nutrition 0.000 claims description 4
- DPXJVFZANSGRMM-UHFFFAOYSA-N acetic acid;2,3,4,5,6-pentahydroxyhexanal;sodium Chemical compound [Na].CC(O)=O.OCC(O)C(O)C(O)C(O)C=O DPXJVFZANSGRMM-UHFFFAOYSA-N 0.000 claims description 4
- 239000001768 carboxy methyl cellulose Substances 0.000 claims description 4
- 229920002678 cellulose Polymers 0.000 claims description 4
- 239000001913 cellulose Substances 0.000 claims description 4
- 235000010980 cellulose Nutrition 0.000 claims description 4
- 239000008273 gelatin Substances 0.000 claims description 4
- 229920000159 gelatin Polymers 0.000 claims description 4
- 229940014259 gelatin Drugs 0.000 claims description 4
- 235000019322 gelatine Nutrition 0.000 claims description 4
- 235000011852 gelatine desserts Nutrition 0.000 claims description 4
- UFVKGYZPFZQRLF-UHFFFAOYSA-N hydroxypropyl methyl cellulose Chemical compound OC1C(O)C(OC)OC(CO)C1OC1C(O)C(O)C(OC2C(C(O)C(OC3C(C(O)C(O)C(CO)O3)O)C(CO)O2)O)C(CO)O1 UFVKGYZPFZQRLF-UHFFFAOYSA-N 0.000 claims description 4
- 239000001814 pectin Substances 0.000 claims description 4
- 235000010987 pectin Nutrition 0.000 claims description 4
- 229920001277 pectin Polymers 0.000 claims description 4
- 229960000292 pectin Drugs 0.000 claims description 4
- 229920002451 polyvinyl alcohol Polymers 0.000 claims description 4
- 235000019422 polyvinyl alcohol Nutrition 0.000 claims description 4
- 235000013855 polyvinylpyrrolidone Nutrition 0.000 claims description 4
- 229920000036 polyvinylpyrrolidone Polymers 0.000 claims description 4
- 239000001267 polyvinylpyrrolidone Substances 0.000 claims description 4
- 239000000843 powder Substances 0.000 claims description 4
- 235000010413 sodium alginate Nutrition 0.000 claims description 4
- 239000000661 sodium alginate Substances 0.000 claims description 4
- 229940005550 sodium alginate Drugs 0.000 claims description 4
- 235000019812 sodium carboxymethyl cellulose Nutrition 0.000 claims description 4
- 229920001027 sodium carboxymethylcellulose Polymers 0.000 claims description 4
- 239000008107 starch Substances 0.000 claims description 4
- 235000019698 starch Nutrition 0.000 claims description 4
- 229940032147 starch Drugs 0.000 claims description 4
- 235000010487 tragacanth Nutrition 0.000 claims description 4
- 239000000196 tragacanth Substances 0.000 claims description 4
- 229940116362 tragacanth Drugs 0.000 claims description 4
- 235000010493 xanthan gum Nutrition 0.000 claims description 4
- 239000000230 xanthan gum Substances 0.000 claims description 4
- 229920001285 xanthan gum Polymers 0.000 claims description 4
- 229940082509 xanthan gum Drugs 0.000 claims description 4
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical compound C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 claims description 3
- 241000700605 Viruses Species 0.000 claims description 3
- 230000003213 activating effect Effects 0.000 claims description 3
- 229910052708 sodium Inorganic materials 0.000 claims description 3
- 235000015424 sodium Nutrition 0.000 claims description 3
- 239000011734 sodium Substances 0.000 claims description 3
- 238000004659 sterilization and disinfection Methods 0.000 claims description 3
- 210000004746 tooth root Anatomy 0.000 claims description 3
- 241000186045 Actinomyces naeslundii Species 0.000 claims description 2
- 241000194033 Enterococcus Species 0.000 claims description 2
- 241000233866 Fungi Species 0.000 claims description 2
- 241000605909 Fusobacterium Species 0.000 claims description 2
- 241001135221 Prevotella intermedia Species 0.000 claims description 2
- 241000194026 Streptococcus gordonii Species 0.000 claims description 2
- 241000194046 Streptococcus intermedius Species 0.000 claims description 2
- 241000194019 Streptococcus mutans Species 0.000 claims description 2
- 241001135235 Tannerella forsythia Species 0.000 claims description 2
- 238000010521 absorption reaction Methods 0.000 claims description 2
- 239000003963 antioxidant agent Substances 0.000 claims description 2
- 229960002163 hydrogen peroxide Drugs 0.000 claims description 2
- 239000013307 optical fiber Substances 0.000 claims description 2
- 239000003755 preservative agent Substances 0.000 claims description 2
- 230000002335 preservative effect Effects 0.000 claims description 2
- 239000004094 surface-active agent Substances 0.000 claims description 2
- 241000192125 Firmicutes Species 0.000 claims 1
- 239000007943 implant Substances 0.000 claims 1
- 150000002978 peroxides Chemical class 0.000 description 13
- XSQUKJJJFZCRTK-UHFFFAOYSA-N Urea Chemical compound NC(N)=O XSQUKJJJFZCRTK-UHFFFAOYSA-N 0.000 description 10
- 210000000214 mouth Anatomy 0.000 description 7
- 239000004202 carbamide Substances 0.000 description 5
- 235000013877 carbamide Nutrition 0.000 description 5
- MYMOFIZGZYHOMD-UHFFFAOYSA-N Dioxygen Chemical compound O=O MYMOFIZGZYHOMD-UHFFFAOYSA-N 0.000 description 3
- 231100000252 nontoxic Toxicity 0.000 description 3
- 230000003000 nontoxic effect Effects 0.000 description 3
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 2
- 210000004027 cell Anatomy 0.000 description 2
- 239000000805 composite resin Substances 0.000 description 2
- 230000001419 dependent effect Effects 0.000 description 2
- 229910001882 dioxygen Inorganic materials 0.000 description 2
- 229940079593 drug Drugs 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 239000000975 dye Substances 0.000 description 2
- 239000001301 oxygen Substances 0.000 description 2
- 229910052760 oxygen Inorganic materials 0.000 description 2
- 238000006116 polymerization reaction Methods 0.000 description 2
- 150000004032 porphyrins Chemical class 0.000 description 2
- 239000003642 reactive oxygen metabolite Substances 0.000 description 2
- 239000003440 toxic substance Substances 0.000 description 2
- 102000016938 Catalase Human genes 0.000 description 1
- 108010053835 Catalase Proteins 0.000 description 1
- 208000035473 Communicable disease Diseases 0.000 description 1
- 102000018832 Cytochromes Human genes 0.000 description 1
- 108010052832 Cytochromes Proteins 0.000 description 1
- 206010061218 Inflammation Diseases 0.000 description 1
- 206010028116 Mucosal inflammation Diseases 0.000 description 1
- 201000010927 Mucositis Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 206010048685 Oral infection Diseases 0.000 description 1
- 240000004808 Saccharomyces cerevisiae Species 0.000 description 1
- 206010064930 age-related macular degeneration Diseases 0.000 description 1
- 244000052616 bacterial pathogen Species 0.000 description 1
- 210000004666 bacterial spore Anatomy 0.000 description 1
- 201000011510 cancer Diseases 0.000 description 1
- 230000030833 cell death Effects 0.000 description 1
- 210000002421 cell wall Anatomy 0.000 description 1
- 210000003850 cellular structure Anatomy 0.000 description 1
- SURLGNKAQXKNSP-DBLYXWCISA-N chlorin Chemical compound C\1=C/2\N/C(=C\C3=N/C(=C\C=4NC(/C=C\5/C=CC/1=N/5)=CC=4)/C=C3)/CC\2 SURLGNKAQXKNSP-DBLYXWCISA-N 0.000 description 1
- 150000004035 chlorins Chemical class 0.000 description 1
- 238000011260 co-administration Methods 0.000 description 1
- 150000001875 compounds Chemical class 0.000 description 1
- 230000034994 death Effects 0.000 description 1
- 238000000354 decomposition reaction Methods 0.000 description 1
- 230000000593 degrading effect Effects 0.000 description 1
- 210000004262 dental pulp cavity Anatomy 0.000 description 1
- 230000001066 destructive effect Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000008030 elimination Effects 0.000 description 1
- 238000003379 elimination reaction Methods 0.000 description 1
- 230000005281 excited state Effects 0.000 description 1
- 230000005283 ground state Effects 0.000 description 1
- 125000002887 hydroxy group Chemical group [H]O* 0.000 description 1
- TUJKJAMUKRIRHC-UHFFFAOYSA-N hydroxyl Chemical compound [OH] TUJKJAMUKRIRHC-UHFFFAOYSA-N 0.000 description 1
- 230000004054 inflammatory process Effects 0.000 description 1
- 150000002632 lipids Chemical class 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 208000002780 macular degeneration Diseases 0.000 description 1
- 239000012528 membrane Substances 0.000 description 1
- 208000028169 periodontal disease Diseases 0.000 description 1
- 239000000546 pharmaceutical excipient Substances 0.000 description 1
- 230000002165 photosensitisation Effects 0.000 description 1
- 238000001126 phototherapy Methods 0.000 description 1
- 125000001452 riboflavin group Chemical group 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K41/00—Medicinal preparations obtained by treating materials with wave energy or particle radiation ; Therapies using these preparations
- A61K41/0057—Photodynamic therapy with a photosensitizer, i.e. agent able to produce reactive oxygen species upon exposure to light or radiation, e.g. UV or visible light; photocleavage of nucleic acids with an agent
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K8/00—Cosmetics or similar toiletry preparations
- A61K8/18—Cosmetics or similar toiletry preparations characterised by the composition
- A61K8/19—Cosmetics or similar toiletry preparations characterised by the composition containing inorganic ingredients
- A61K8/20—Halogens; Compounds thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K8/00—Cosmetics or similar toiletry preparations
- A61K8/18—Cosmetics or similar toiletry preparations characterised by the composition
- A61K8/19—Cosmetics or similar toiletry preparations characterised by the composition containing inorganic ingredients
- A61K8/22—Peroxides; Oxygen; Ozone
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K8/00—Cosmetics or similar toiletry preparations
- A61K8/18—Cosmetics or similar toiletry preparations characterised by the composition
- A61K8/30—Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
- A61K8/33—Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing oxygen
- A61K8/35—Ketones, e.g. benzophenone
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K8/00—Cosmetics or similar toiletry preparations
- A61K8/18—Cosmetics or similar toiletry preparations characterised by the composition
- A61K8/30—Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
- A61K8/49—Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing heterocyclic compounds
- A61K8/4973—Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing heterocyclic compounds with oxygen as the only hetero atom
- A61K8/498—Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing heterocyclic compounds with oxygen as the only hetero atom having 6-membered rings or their condensed derivatives, e.g. coumarin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K8/00—Cosmetics or similar toiletry preparations
- A61K8/18—Cosmetics or similar toiletry preparations characterised by the composition
- A61K8/30—Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
- A61K8/67—Vitamins
- A61K8/673—Vitamin B group
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N5/00—Radiation therapy
- A61N5/06—Radiation therapy using light
- A61N5/0613—Apparatus adapted for a specific treatment
- A61N5/062—Photodynamic therapy, i.e. excitation of an agent
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N5/00—Radiation therapy
- A61N5/06—Radiation therapy using light
- A61N5/0613—Apparatus adapted for a specific treatment
- A61N5/0624—Apparatus adapted for a specific treatment for eliminating microbes, germs, bacteria on or in the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61Q—SPECIFIC USE OF COSMETICS OR SIMILAR TOILETRY PREPARATIONS
- A61Q11/00—Preparations for care of the teeth, of the oral cavity or of dentures; Dentifrices, e.g. toothpastes; Mouth rinses
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K2800/00—Properties of cosmetic compositions or active ingredients thereof or formulation aids used therein and process related aspects
- A61K2800/80—Process related aspects concerning the preparation of the cosmetic composition or the storage or application thereof
- A61K2800/81—Preparation or application process involves irradiation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K2800/00—Properties of cosmetic compositions or active ingredients thereof or formulation aids used therein and process related aspects
- A61K2800/80—Process related aspects concerning the preparation of the cosmetic composition or the storage or application thereof
- A61K2800/88—Two- or multipart kits
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N5/00—Radiation therapy
- A61N5/06—Radiation therapy using light
- A61N2005/065—Light sources therefor
- A61N2005/0651—Diodes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N5/00—Radiation therapy
- A61N5/06—Radiation therapy using light
- A61N2005/0658—Radiation therapy using light characterised by the wavelength of light used
- A61N2005/0662—Visible light
Definitions
- composition for antimicrobial photodynamic therapy Composition for antimicrobial photodynamic therapy
- the present invention relates to a composition and a kit of parts for antimicrobial photodynamic therapy and uses of the same.
- the invention further relates a method of treating, ameliorating or reducing an infection or inflammation in the mouth cavity, such as gingivitis, periodontitis, peri- mucositis, peri-implantitis or endodontic infections.
- Photodynamic therapy is a form of phototherapy that involves light and a photosensitizing chemical substance, used in conjunction with molecular oxygen to elicit cell death, such as death of pathogenic microorganism.
- photodynamic therapy involves the use of non-toxic compound (porphyrins, chlorins or dyes) that act as photoactive drugs (referred to as photosensitizers) in combination with visible light of the appropriate wavelength to excite the photosensitizer.
- photosensitizers non-toxic compound that act as photoactive drugs
- the photosensitizer in the presence of the oxygen, transfers energy or electrons to ground state molecular oxygen producing reactive oxygen species (ROS) such as singlet oxygen and hydroxyl radical, which are responsible for the killing of cells.
- ROS reactive oxygen species
- Photodynamic therapy is an established modality for the treatment of cancer. It has also been extended for the treatment of noncancerous conditions such as age related macular degeneration and other dermatological applications. Besides these applications, there has also been a growing interest in the application of PDT for the treatment of infectious diseases. Elimination of pathogenic microorganisms by photodynamic therapy is termed antimicrobial PDT (aPDT). In the recent years, antimicrobial photodynamic therapy has drawn increasing attention from the dental practitioners for its potential in the treatment of oral infection, such periodontitis and endodontic infections.
- the object of the present invention is to provide improved compositions for use in dentistry such as improved composition for antimicrobial photodynamic therapy and methods for using such compositions.
- a first aspect of the present invention provides a composition comprising
- a second aspect of the present invention provides a kit of parts comprising (a) a first container comprising a first composition comprising hydrogen peroxide, carbamide peroxide, sodium hypochlorite or any combination thereof,
- a second container comprising a second composition comprising at least one photosensitizer capable of being activated by light emitted in the blue spectrum
- (c) optionally a source of light emitting light in the blue spectrum.
- a third aspect of the present invention provides a composition or kits of parts of the present invention for use in the treatment of an infection in the mouth cavity, such as gingivitis, periodontitis, periimplantitis, perimucositis, peri- implantitis or endodontic infections.
- a further aspect of the present invention provides a method of treating, ameliorating or reducing an infection in the mouth cavity, said method comprising the steps of
- the present invention provides a composition comprising
- composition of the present invention is that treatment with the peroxide (hydrogen peroxide, carbamide peroxide, sodium hypochlorite or any combination thereof) and the photosensitizer(s) is performed simultaneously by co-administration. The treatment is thus faster and more comfortable for the patient.
- the composition the peroxide (hydrogen peroxide, carbamide peroxide and/or sodium hypochlorite) and the photosensitizer(s) is stable for long-term storage.
- the photosensitizer is a compound acceptable for application to the oral cavity.
- the photosensitizer is a non toxic compound (or at least non-toxic in the amount applied) that act as photoactive drugs in combination with visible light comprising light emitted in the blue spectrum to excite the photosensitizer.
- the photosensitizer(s) is activated by the light in the range of 380 to 520 nm, such as 405 to 470 nm, preferably 455 ⁇ 30 nm.
- the photosensitizer(s) has a peak absorption around 455 nm, preferably 455 ⁇ 30 nm.
- the photosensitizer is typically a porphyrin, chlorin or dye.
- the photosensitizer(s) is a natural (non-synthetic) photosensitizer.
- the photosensitizer(s) is selected from the group consisting of curcumin, riboflavin and erythrosine.
- the photosensitizer is curcumin.
- the photosensitizer is riboflavin.
- the composition comprises least two photosensitizers, such as two, three, four or five photosensitizers capable of being activated by light emitted in the blue spectrum.
- the composition comprises curcumin and riboflavin.
- the composition comprises two photosensitizers, which are curcumin and riboflavin.
- the composition comprises photosensitizer(s) in amounts sufficient to provide a therapeutic effect (treating, ameliorating or reducing the infection) in the dose applied to the infected area, for example a tooth pocket or a root canal of an infected tooth.
- the composition comprises 0.001 to 0.1 wt% of said at least one photosensitizer, such as 0.01 to 0.1 wt% of the at least one photosensitizer.
- the composition comprises 0.1 wt% of the at least one photosensitizer, such as 0.1 wt% curcumin, 0.1 wt% riboflavin, or a total of 0.1 wt% curcumin and riboflavin.
- the composition comprises 0.01 wt% of the at least one photosensitizer, such as 0.01 wt% curcumin, 0.01 wt% riboflavin, or a total of 0.02 wt% curcumin and riboflavin.
- the composition comprises 0.03 wt% of the at least one photosensitizer, such as 0.02 wt% curcumin, 0.01 wt% riboflavin, or a total of 0.03 wt% curcumin and riboflavin.
- composition of the present invention comprises hydrogen peroxide, carbamide peroxide, sodium hypochlorite or any combination thereof.
- the composition comprises hydrogen peroxide.
- Hydrogen peroxide, carbamide peroxide and sodium hypochlorite work by producing destructive hydroxyl free radicals that can attack membrane lipids, DNA, and other essential cell components.
- Catalase produced by aerobic organisms and facultative anaerobes that possess cytochrome systems, can protect cells from metabolically produced the peroxides by degrading the peroxides to water and oxygen. This defence mechanism is overwhelmed by the concentrations used for disinfection.
- Hydrogen peroxide, carbamide peroxide and sodium hypochlorite have demonstrated antimicrobial activity against a wide range viruses, bacteria, yeasts, and bacterial spores. In general, greater activity is seen against Gram-positive than Gram-negative bacteria. Under normal conditions, Hydrogen peroxide, carbamide peroxide and sodium hypochlorite are stable when properly stored (e.g., in dark containers). The decomposition or loss of potency in small containers is low at ambient temperatures.
- the composition comprises 0.25 to 5 wt% of hydrogen peroxide, carbamide peroxide or sodium hypochlorite or any combination thereof, such as 0.25 to 5 wt% of hydrogen peroxide, carbamide peroxide or sodium hypochlorite or any combination thereof, such as 0.25 to 5 wt% of hydrogen peroxide or 0.25 to 5 wt% of sodium hypochlorite.
- the composition comprises hydrogen peroxide in the range of 2.5 to 4 wt% hydrogen peroxide, for example 2.5 to 3.5 wt% hydrogen peroxide, preferably 3 wt% hydrogen peroxide or about 3 wt% hydrogen peroxide.
- the hydrogen peroxide may be provided in the form of carbamid peroxide.
- Carbamide peroxide consist equal molar amounts of hydrogen peroxide (molar weight of 34.01 g/mol) and urea (molar weight of 60.06 g/mol).
- the composition comprises 0.25 to 5 wt% of hydrogen peroxide and the hydrogen peroxide is provided in the form of carbamid peroxide
- the composition further comprises about 0.44 to 8.8 wt% of urea.
- the composition comprises carbamid peroxide corresponding to 2.5 to 4 wt% hydrogen peroxide (and thus about about 4.4 to 7.1 wt% of urea), for example 2.5 to 3.5 wt% hydrogen peroxide (and thus about about 4.4 to 6.2 wt% of urea), preferably 3 wt% hydrogen peroxide or about 3 wt% hydrogen peroxide (and thus about about 5.3 wt% of urea).
- the composition comprises 0.69 to 13.8 wt% of carbamid peroxide.
- the composition comprises carbamid peroxide in the range of 6.9 to 11.1 wt% carbamid peroxide, for example 6.9 to 9.7 wt% carbamid peroxide, preferably 8.3 wt% carbamid peroxide or about 8.3 wt% carbamid peroxide.
- the composition comprises 3 wt% or about 3 wt% hydrogen peroxide. In another embodiment, the composition comprises 2.5 wt% or about 2.5 wt% sodium hypochlorite.
- composition comprises a gelling agent.
- the composition comprises a gelling agent selected from the group consisting of guar gum, gum acacia, tragacanth, sodium alginate, pectin, starch, gelatin, cellulose derivative (such as hydroxypropyl methyl cellulose, methylcellulose and sodium carboxymethyl cellulose), carbomers, polyvinyl pyrrolidone, polyvinyl alcohol and xanthan gum or any combination thereof.
- the gelling agent is guar gum.
- the amount of gelling agent in the composition may dependent on the gelling agent and the preferred viscosity of the gel.
- the composition typically comprises 0.5% to 10 wt% of said gelling agent, for example about 7% to 10 wt% of of said gelling agent, for example about 7% to 9 wt% of of said gelling agent or such as 1, 2, 3, 4, 5, 6, 7, 8, or 9 wt% of said gelling agent.
- the composition is typically provided in dry form for storage, such as a powder, which may be reconstituted to an aqueous gel briefly before use.
- the composition comprises hydrogen peroxide, riboflavin, curcumin and guar gum.
- hydrogen peroxide riboflavin
- curcumin guar gum
- the composition comprises about 3 wt% hydrogen peroxide, about 0.01 wt% curcumin, about 0.01 wt% riboflavin and about 0.5% to 10 wt% of guar gum, such as about 7% to 10 wt% of guar gum, for example about 7% to 9 wt% of guar gum, such as about 8 wt% of guar gum.
- the composition comprises about 3 wt% hydrogen peroxide, about 0.02 wt% curcumin, about 0.01 wt% riboflavin and about 0.5% to 10 wt% of guar gum, such as about 7% to 10 wt% of guar gum, for example about 7% to 9 wt% of guar gum, such as about 8 wt% of guar gum.
- the composition is provided in dry form, which may be reconstituted to an aqueous gel before use.
- the composition may further comprises one or more additional acceptable excipients such as one or more of a preservative, one or more antioxidants, and/or a surfactant, which may contribute for example to the stability of the composition.
- additional acceptable excipients such as one or more of a preservative, one or more antioxidants, and/or a surfactant, which may contribute for example to the stability of the composition.
- a second aspect of the present invention provides a kit of parts (a) a first container comprising a first composition comprising hydrogen peroxide, carbamide peroxide, sodium hypoclorite or any combination thereof,
- a second container comprising a second composition comprising at least one photosensitizer capable of being activated by light emitted in the blue spectrum
- (c) optionally a source of light emitting light in the blue spectrum.
- kits of part is provided without a source of light, in particular where a suitable source of light is already available in the dental clinic.
- the kit comprises at least one photosensitizers selected from the group consisting of curcumin, riboflavin and erythrosine.
- composition comprises two photosensitizers, such as curcumin and riboflavin.
- the first composition of said kit comprises hydrogen peroxide, such as 0.25 to 5 wt% hydrogen peroxide, such as 2.5 to 4 wt% hydrogen peroxide, for example 2.5 to 3.5 wt% hydrogen peroxide, preferably 3 wt% hydrogen peroxide or about 3 wt% hydrogen peroxide.
- hydrogen peroxide such as 0.25 to 5 wt% hydrogen peroxide, such as 2.5 to 4 wt% hydrogen peroxide, for example 2.5 to 3.5 wt% hydrogen peroxide, preferably 3 wt% hydrogen peroxide or about 3 wt% hydrogen peroxide.
- the first and/or said second composition comprises a gelling agent.
- the gelling agent is selected from the group consisting of guar gum, gum acacia, tragacanth, sodium alginate, pectin, starch, gelatin, cellulose derivative (such as hydroxypropyl methyl cellulose, methylcellulose and sodium carboxymethyl cellulose), carbomers, polyvinyl pyrrolidone, polyvinyl alcohol and xanthan gum.
- the first and/or said second composition comprises 0.5% to 10 wt% of said gelling agent, for example about 7% to 10 wt% of of said gelling agent, for example about 7% to 9 wt% of of said gelling agent or such as 1, 2, 3, 4, 5, 6, 7, 8, or 9 wt% of said gelling agent.
- the first and second composition of the kit is in dry form, such as a powder.
- the invention provides the composition or kits of parts of the invention for use in the treatment of an infection in the mouth cavity, such as a dental infection.
- composition or kits of parts is for use in the treatment of gingivitis, periodontitis, periimplantitis, endodontic infection. In one embodiment, the composition or kits of parts is for use in endodontic photoactivated disinfection.
- a further aspect of the present invention provides a method of treating, ameliorating or reducing an infection in the mouth cavity, said method comprising the steps of (a) providing a composition of the present invention comprising at least one photosensitizer;
- the infection subject to treatment or amelioration may for example be gingivitis, periodontitis, periimplantitis, endodontic infection.
- the infection is in a periodontal pocket or a dental root canal.
- the order to hold the disposed composition in the infected periodontal pocket or dental root for sufficient time composition may be applied in the form of an aqueous gel.
- the composition is a gel and the gel is applied to one or more periodontal pockets.
- the source of light may be any source of light emitting sufficient light in the blue spectrum to activate the photosensitizer(s).
- the area of infection is illuminated with said light with an illumination intensity in the range of around 2000 to 7000 mW/cm 2 , such as in the range of 2000 to 6000 mW/cm 2 , for example in the range of 2000 to 5000 mW/cm 2 , such as in the range of 2000 to 4000 mW/cm 2 , for example 2000 to 3000 mW/cm 2 , such as 3000 mW/cm 2 .
- the area of infection is illuminated with said light with an illumination intensity of around 2000 mW/cm 2 or around 12 J/cm 2 .
- the area of infection is illuminated with said light for at least 30 seconds, such as 60 seconds, for example 1 minute, such as about 2 minutes, for example about 3 minutes, such as about 4 minutes, for examples about 5 minutes.
- the area of infection is illuminated with said light with an illumination intensity of around 2000 mW/cm 2 or around 12 J/cm 2 and the area of infection is illuminated with said light for at least 30 seconds, such as 60 seconds, for example 1 minute, such as about 2 minutes, for example about 3 minutes, such as about 4 minutes, for examples about 5 minutes.
- the light emitted from said source of light comprises light in the range of 380 to 520 nm, preferably 455 ⁇ 30 nm.
- the source of light may be any source of light emitting sufficient light in the blue spectrum to activate the photosensitizer(s).
- light is a blue light emitting diode (LED) or a blue light emitting optical fibre.
- a dental curing light device that is also used for polymerization of light cure resin based composites typically emits light in the blue spectrum.
- the infection in the mouth cavity typically comprises one or more one or more periodontal pathogenic microorganism.
- the infection microorganism may be present as biofilm and or a planktonic infection.
- the infection is primarily in the form of biofilm, such as a biofilm comprising one or more periodontal pathogenic microorganism.
- pathogenic microorganism is selected from the group consisting of bacteria, fungi and virus.
- the periodontal pathogenic microorganism is a bacterium.
- the microorganism is a gram-negative bacterium.
- the microorganism is a gram-positive bacterium.
- the one or more microorganisms is selected from the group consisting of Porphyromonas gingivalis, Tannerella forsythia,
- Fusobacterium nudeatum, Enterococcus faecal is, Streptococcus intermedius, Streptococcus mutans, Streptococcus gordonii, Prevotella intermedia and Actinomyces naeslundii.
- the microorganisms is or comprises Porphyromonas gingivalis.
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Abstract
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DKPA201970694 | 2019-11-13 | ||
| PCT/EP2020/081797 WO2021094396A1 (fr) | 2019-11-13 | 2020-11-11 | Composition pour thérapie photodynamique antimicrobienne |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| EP4058064A1 true EP4058064A1 (fr) | 2022-09-21 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| EP20808310.5A Withdrawn EP4058064A1 (fr) | 2019-11-13 | 2020-11-11 | Composition pour thérapie photodynamique antimicrobienne |
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| Country | Link |
|---|---|
| US (1) | US20220409729A1 (fr) |
| EP (1) | EP4058064A1 (fr) |
| WO (1) | WO2021094396A1 (fr) |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2025080734A1 (fr) * | 2023-10-09 | 2025-04-17 | Klang Gregg A | Dispositifs de luminothérapie vaginale et procédés d'utilisation |
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|---|---|---|---|---|
| SMT201700575T1 (it) * | 2009-07-17 | 2018-01-11 | Klox Tech Inc | Composizione orale antibatterica |
| MY150838A (en) * | 2009-12-21 | 2014-02-28 | Colgate Palmolive Co | Oral care compositions for use with an oral light device |
| WO2011150004A2 (fr) * | 2010-05-25 | 2011-12-01 | The Procter & Gamble Company | Compositions pour soins d'hygiène buccodentaire et procédés de fabrication de compositions pour soins d'hygiène buccodentaire contenant de la silice à partir de matériaux végétaux |
| US10745502B2 (en) * | 2015-11-20 | 2020-08-18 | Isp Investments Llc | Polymers for oral care compositions |
| EP3463268B1 (fr) * | 2016-05-23 | 2021-11-03 | Klox Technologies Limited | Compositions biophotoniques et utilisations de celles-ci |
-
2020
- 2020-11-11 US US17/776,486 patent/US20220409729A1/en not_active Abandoned
- 2020-11-11 EP EP20808310.5A patent/EP4058064A1/fr not_active Withdrawn
- 2020-11-11 WO PCT/EP2020/081797 patent/WO2021094396A1/fr not_active Ceased
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| Publication number | Publication date |
|---|---|
| US20220409729A1 (en) | 2022-12-29 |
| WO2021094396A1 (fr) | 2021-05-20 |
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